Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Surgical Treatment of Talar Chondroblastoma via Partial Posterior Medial Malleolar Osteotomy: A Case Report

내과의 부분후방절골술을 통한 거골연골모세포종의 수술적 치료: 증례 보고

  • Oh Jun Yu (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje Univerisity College of Medicine) ;
  • Jin Soo Suh (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje Univerisity College of Medicine) ;
  • Han Sung Kim (Department of Pathology, Ilsan Paik Hospital, Inje Univerisity College of Medicine) ;
  • Jun Young Choi (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje Univerisity College of Medicine)
  • 유오준 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 서진수 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 김한성 (인제대학교 의과대학 일산백병원 병리학교실) ;
  • 최준영 (인제대학교 의과대학 일산백병원 정형외과학교실)
  • Received : 2023.03.10
  • Accepted : 2023.05.04
  • Published : 2023.06.15
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Abstract

During bone tumor resection, many cases require medial malleolar osteotomy to achieve adequate access to the operative field. Various osteotomy methods have been developed to address this issue, including oblique, transverse, reverse V-shape, and step-cut osteotomies. However, medial malleolar osteotomy has several drawbacks, such as the excessive disruption of the joint surface, unstable screw fixation when fixing the medial malleolus, and iatrogenic medial ankle joint arthritis due to articular displacement during the reduction of the osteotomy site. In addition, there is a possibility of injury to the posterior tibial artery, tibial nerve, or posterior tibialis tendon if the osteotomy range is too aggressive. Therefore, the authors propose a new osteotomy method, which has shown promising clinical results, namely, partial posterior medial malleolar osteotomy. This method minimizes articular involvement and provides adequate access to the operative field during talar body bone tumor resection.

Keywords

References

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